Organization Active NPI

Taos Living Center, LLC

  • Skilled Nursing Facility
  • Taos, NM
National Provider Identifier
1093829293
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
02309620009 Issued in NM
Legal business name
TAOS LIVING CENTER, LLC
Practice address
1340 Maestas Rd
Taos, NM 87571-6263
Phone
(575) 758-2300
Fax
(575) 758-3081
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Reid
Title
Administrator
Phone
(575) 758-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 02309620009 NM Primary

Addresses

Primary practice location

1340 Maestas Rd
Taos, NM 87571-6263

Mailing address

1340 Maestas Rd
Taos, NM 87571-6263
Phone (575) 758-2300

Other identifiers 1

IdentifierTypeStateIssuer
I1322MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1093829293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716263",
            "telephone_number": "575-758-2300",
            "fax_number": "575-758-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716263",
            "telephone_number": "575-758-2300",
            "fax_number": "575-758-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-758-2300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "02309620009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I1322",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.